The sacroiliac joint is located between the pelvis (ischium) and the sacrum (at the lower end of the spine). This joint connects the spine to the pelvis.
There are many causes of sacroiliac joint inflammation. In most cases, inflammation of the sacroiliac joint occurs due to joint overload, due to loss of mobility in the lumbar spine (for example, the consequences of an operation to stabilize the spine), due to shortening of one leg, which leads to asymmetry of the pelvic bones. The typical pain pattern in an inflamed sacroiliac joint is pain in one or both buttocks, which may radiate to the lateral and / or front of the thigh. Many patients describe this pain as persistent, which is exacerbated primarily by standing up, walking or sitting.
For this reason, it often happens that pain in the sacroiliac #joint is confused with pain in the lower back, hips and / or radiating pain in the spine. In most cases, an inflamed sacroiliac joint can only be accurately diagnosed with difficulty and with the help of images (such as X-rays, MRI and CT).
Therefore, inflammation of the sacroiliac joint is diagnosed in a clinical setting, i.e. the doctor examines and detects inflammation based on numerous tests. To avoid unnecessary lumbar spine surgery due to misdiagnosis, it is especially important to perform a complete examination of the sacroiliac joint in patients complaining of lower back and leg pain.
Possibilities of conservative treatment
Intra-articular infiltration of the sacroiliac joint
Conservative management of an inflamed sacroiliac joint usually consists of rest and pain management. The most important component of conservative therapy, leading to the best short-term and longer-term results, is intra-articular infiltration of the sacroiliac joint by injection into the joint under local anesthesia and cortisone.
Dr. Morgenstern performs intra-articular infiltration of the sacroiliac joint using a technology developed in Germany. This technology allows infiltrating the joint on an outpatient basis, without referral to the clinic. In contrast to the traditional technology of performing surgery on the sacroiliac joint https://5fc7e6d5a2a0e.site123.me/blog/bone-and-joint-strengthening-supplements, this technology does not require an electron-optical converter and the introduction of a contrast agent. The procedure can be performed directly in the doctor's office (no need for an operating room). In most cases, relief immediately follows the infiltration, even if re-infiltration is required after 2-3 weeks to stop significant joint inflammation.
Surgical treatment
Surgical operation for chronic inflammation of the sacroiliac joint is prescribed only in cases where conservative treatment for 6 months has not led to #pain relief. For long-term chronic pain, as a last resort, minimally invasive surgery is performed (through a small incision in the skin).
In this case, the patient receives three titanium implants that strengthen the sacroiliac joint. Thus, the joint is blocked and its complete anesthesia is achieved. In recent years, more than 30,000 surgeries have been performed to stabilize the #sacroiliac joint worldwide. Published clinical studies show a significant improvement in the quality of life and a decrease in pain in operated patients, in comparison with cases of their conservative treatment.
Why does calcium "evaporate" after 40 years
During menopause, the production of estrogen in the ovaries decreases. This has a negative effect on bone renewal. Deficiency of estrogens leads to an acceleration of the processes of bone metabolism with a shift in equilibrium towards resorption (destruction), which is facilitated by the increased production of special substances - cytokines. As a result, the work of cells that absorb bone tissue (osteoclasts) is stimulated, and the activity of producing cells (osteoblasts) decreases: more bone mass is destroyed than is produced.
In addition, after the onset of menopause, the acidity of the stomach decreases, due to which calcium, which is the main building material of bone tissue, begins to be less absorbed. The processes of calcium absorption in the intestine are also disturbed by estrogen deficiency. The situation is aggravated by the deficiency of vitamin K and microelements that develops during this period, which are needed for the normal absorption of calcium and the formation of bone tissue.
Over time, bone loss can cause osteopenia (decreased bone density) with the subsequent development of osteoporosis. As you can understand, there is a direct link between the menopausal restructuring of the body and this disease.
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